AMANDA STRUB (NPI# 1023519485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023519485 |
| Entity Type | Individual |
| Full Name | AMANDA STRUB |
| Credential | CNP |
| Practice Address |
631 E State St Georgetown OH 45121-1437 |
| Mailing Address |
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 |
| Practice Telephone | 9373786387 |
| Practice Fax Number | 9373784253 |
| Mailing Telephone | 5135767700 |
| Mailing Fax Number | 5135761020 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
021162 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0265006 | 05 |
| Street Address |
631 E STATE ST |
| City | GEORGETOWN |
| State | OH |
| Zip Code | 45121-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376796 | Anya C. Bauman | Pediatrics | 631 E State St, Georgetown, OH 45121-1437 | 2005-06-16 |
| 1316432834 | Melissa N Wright | Nurse Practitioner | 631 E State St, Georgetown, OH 45121 | 2018-06-27 |
| 1740627488 | Bradley Jay Stokes | Family Medicine | 631 E State St, Georgetown, OH 45121-1437 | 2013-06-03 |
| 1841541034 | Dena Richter | Nurse Practitioner | 631 E State St, Georgetown, OH 45121 | 2012-09-27 |
| 1679803381 | Josie Ann Gast | Physician Assistant | 631 E State St, Georgetown, OH 45121-1437 | 2009-12-31 |
| 1700980869 | Healthsource of Ohio, Inc. | Clinic/Center | 631 E State St, Georgetown, OH 45121-1437 | 2006-09-11 |
| 1255372207 | Healthsource of Ohio, Inc. | Clinic/Center | 631 E State St, Georgetown, OH 45121-1437 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417324609 | Jennifer A Shaw | Psychologist | 9231 Hamer Road, Brown County Educational Service Center, Georgetown, OH 45121 | 2015-08-24 |
| 1760880926 | Ashley Marcia Gardner-attinger | Personal Emergency Response Attendant | 9321-b Hamer Rd, Georgetown, OH 45121 | 2014-12-19 |
| 1447686753 | Ivan D Mcfann Jr. | Licensed Practical Nurse | 10778 Rolling Acres Drive, Georgetown, OH 45121 | 2013-09-18 |
| 1851651798 | Pamela J Kelch | Registered Nurse | 17 Wood Cliff Way, Georgetown, OH 45121 | 2012-05-25 |
| 1194027557 | Adams Brown Counties Economic Oppt Inc | Clinic/Center | 406 W. Plum Street, Georgetown, OH 45121 | 2010-11-17 |
| 1255590972 | Nancy Taylor | Home Health Aide | 201 Meadow Spring Dr, Georgetown, OH 45121 | 2008-06-06 |
| 1770796658 | Gwen S Courts | Counselor | 12525 New Hope White Oak Station Rd, Georgetown, OH 45121 | 2007-05-08 |
| 1770511511 | Southern Ohio Health Services Network | Obstetrics & Gynecology | 5162 St. Rt. 125, Georgetown, OH 45121 | 2006-06-29 |
| 1073513206 | Georgetown Volunteer Life Squad Association | Ambulance | 821 Mt. Orab Pike, Georgetown, OH 45121 | 2005-07-29 |
| 1700881653 | Ene G George | Obstetrics & Gynecology | 5162 St Rt, Georgetown, OH 45121 | 2005-06-16 |
| Find all providers in zip 45121 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672292 | Megan Gresham | Nurse Practitioner | 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 | 2020-09-01 |
| 1922619584 | Shawn Marie Kraus | Nurse Practitioner | 2000 Fm 1460 Apt 7201, Georgetown, TX 78626-4478 | 2020-08-16 |
| 1063022465 | Whitney Elizabeth Bauer | Nurse Practitioner | 112 Mallory Ln, Georgetown, KY 40324-1282 | 2020-07-31 |
| 1891311338 | Abby Hiller | Nurse Practitioner | 313 Square Bnd, Georgetown, TX 78633-4674 | 2020-06-20 |
| 1891311791 | Community Medical Center LLC | Nurse Practitioner | 5300 State Road 64 Ste 101, Georgetown, IN 47122-9178 | 2020-06-17 |
| 1801419213 | Megan Patrick | Nurse Practitioner | 3293 Center Rd, Georgetown, SC 29440-6792 | 2020-05-20 |
| 1962046284 | Christopher Earl Jaisingh | Nurse Practitioner | 1103 Rivery Blvd Ste 145, Georgetown, TX 78628-3034 | 2019-10-30 |
| 1083262059 | Bridget J. Pennell | Nurse Practitioner | 117 Village Blvd, Georgetown, KY 40324-8517 | 2019-09-03 |
| 1366902223 | Leslie Robin Duff | Nurse Practitioner | 1076 Degaris Mill Rd, Georgetown, KY 40324-9724 | 2019-03-25 |
| 1518422047 | Ray of Hope Recoveries Inc | Nurse Practitioner | 104 Canewood Center Dr Ste 3, Georgetown, KY 40324-8043 | 2019-02-08 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 45121 |
Please comment or provide details below to improve the information on AMANDA STRUB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.